{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T10:18:56Z","timestamp":1770718736620,"version":"3.49.0"},"reference-count":42,"publisher":"MDPI AG","issue":"12","license":[{"start":{"date-parts":[[2024,6,19]],"date-time":"2024-06-19T00:00:00Z","timestamp":1718755200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Animals"],"abstract":"<jats:p>Inguinal hernias (IHs) and ruptures are a relatively common condition in horses, occurring in foals (congenital) and adult (acquired) animals. A retrospective observational analysis was conducted on 40 cases that underwent laparoscopic surgery to close the VRs using barbed sutures alone or combined with other techniques. Signalment, clinical presentation, surgery, and follow-up data were obtained. In total, fifty-nine VRs were closed using barbed sutures (alone or in combination with other methods), with six cases performed prophylactically and forty-four due to acquired IH. Of the forty-four cases with IH, four were non-strangulated hernias, while thirty presented with strangulated small intestines (twenty-eight acquired and two congenital). The results obtained in this study suggest that laparoscopic hernioplasty with barbed sutures is an effective and safe surgical procedure that could be recommended as a standard practice for managing inguinal hernias in horses, particularly when sparing testicles or preserving reproductive capabilities is a priority.<\/jats:p>","DOI":"10.3390\/ani14121826","type":"journal-article","created":{"date-parts":[[2024,6,19]],"date-time":"2024-06-19T11:47:17Z","timestamp":1718797637000},"page":"1826","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Use of Knotless Barbed Sutures in Laparoscopic Inguinal Hernioplasty in Horses: 40 Cases"],"prefix":"10.3390","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8712-2275","authenticated-orcid":false,"given":"Francisco J.","family":"V\u00e1zquez","sequence":"first","affiliation":[{"name":"Servicio de Cirug\u00eda y Medicina Equina del Hospital Veterinario, Departamento de Patolog\u00eda Animal, Facultad de Veterinaria, Universidad de Zaragoza, 50013 Zaragoza, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-3574-9503","authenticated-orcid":false,"given":"David","family":"Arg\u00fcelles","sequence":"additional","affiliation":[{"name":"Hospital Cl\u00ednico Veterinario, Universidad de C\u00f3rdoba, 14014 C\u00f3rdoba, Spain"},{"name":"Departamento de Medicina y Cirug\u00eda Animal, Universidad de C\u00f3rdoba, 14014 C\u00f3rdoba, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juan A.","family":"Mu\u00f1oz","sequence":"additional","affiliation":[{"name":"Hospital de Referencia La Equina, 29691 Manilva, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martin","family":"Genton","sequence":"additional","affiliation":[{"name":"Clinique V\u00e9t\u00e9rinaire \u00c9quine de Grosbois Altano-Gruppe, 94470 Boissy-St-L\u00e9ger, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jos\u00e9 L.","family":"M\u00e9ndez Angulo","sequence":"additional","affiliation":[{"name":"M\u00e9ndez Hospital Equino, 14100 La Carlota, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Frederic","family":"Climent","sequence":"additional","affiliation":[{"name":"Unitat Equina de l\u2019Hospital Cl\u00ednic Veterinari, Universitat Aut\u00f2noma de Barcelona, 08193 Barcelona, Spain"},{"name":"Departament de Medicina i Cirurgia Animals, Facultat de Veterinaria, Universitat Aut\u00f2noma de Barcelona, 08036 Barcelona, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Imma","family":"Roquet","sequence":"additional","affiliation":[{"name":"Independent Researcher, 08551 Tona, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manuel","family":"Iglesias","sequence":"additional","affiliation":[{"name":"Hospital Cl\u00ednico Veterinario, Departamento de Medicina Animal, Universidad de Extremadura, 10003 C\u00e1ceres, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6526-8436","authenticated-orcid":false,"given":"Ana","family":"Velloso \u00c1lvarez","sequence":"additional","affiliation":[{"name":"Hospital Cl\u00ednico Veterinario, Departamento de Medicina y Cirug\u00eda Animal, Universidad CEU-Cardenal Herrera, CEU Universities, 46115 Alfara del Patriarca, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1286-4968","authenticated-orcid":false,"given":"Arantza","family":"Vitoria","sequence":"additional","affiliation":[{"name":"Servicio de Cirug\u00eda y Medicina Equina del Hospital Veterinario, Departamento de Patolog\u00eda Animal, Facultad de Veterinaria, Universidad de Zaragoza, 50013 Zaragoza, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-3837-6324","authenticated-orcid":false,"given":"Fernando","family":"Bulnes","sequence":"additional","affiliation":[{"name":"Hospital Cl\u00ednico Veterinario, Universidad de C\u00f3rdoba, 14014 C\u00f3rdoba, Spain"},{"name":"Hospital Cl\u00ednico Veterinario, Departamento de Medicina Animal, Universidad de Extremadura, 10003 C\u00e1ceres, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6355-4815","authenticated-orcid":false,"given":"Aritz","family":"Saitua","sequence":"additional","affiliation":[{"name":"Hospital Cl\u00ednico Veterinario, Universidad de C\u00f3rdoba, 14014 C\u00f3rdoba, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antonio","family":"Romero","sequence":"additional","affiliation":[{"name":"Servicio de Cirug\u00eda y Medicina Equina del Hospital Veterinario, Departamento de Patolog\u00eda Animal, Facultad de Veterinaria, Universidad de Zaragoza, 50013 Zaragoza, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2536-9480","authenticated-orcid":false,"given":"Javier","family":"Ezquerra","sequence":"additional","affiliation":[{"name":"Hospital Cl\u00ednico Veterinario, Departamento de Medicina Animal, Universidad de Extremadura, 10003 C\u00e1ceres, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marta","family":"Prades","sequence":"additional","affiliation":[{"name":"Departament de Medicina i Cirurgia Animals, Facultat de Veterinaria, Universitat Aut\u00f2noma de Barcelona, 08036 Barcelona, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9875-4844","authenticated-orcid":false,"given":"F. Javier","family":"L\u00f3pez-Sanrom\u00e1n","sequence":"additional","affiliation":[{"name":"Departamento de Medicina y Cirug\u00eda Animal, Facultad de Veterinaria, Universidad Complutense de Madrid, 28040 Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fabrice","family":"Rossignol","sequence":"additional","affiliation":[{"name":"Clinique V\u00e9t\u00e9rinaire \u00c9quine de Grosbois Altano-Gruppe, 94470 Boissy-St-L\u00e9ger, France"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2024,6,19]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"Blikslager, A.T., White, N.A., Moore, J.N., and Mair, T.S. (2017). Diseases of the Small Intestine. The Equine Acute Abdomen, John Wiley & Sons, Inc.. [3rd ed.].","DOI":"10.1002\/9781119063254"},{"key":"ref_2","first-page":"317","article-title":"Acquired inguinal hernia in the horse: A review of 27 cases","volume":"180","author":"Schneider","year":"1982","journal-title":"J. Am. Vet. Med. Assoc."},{"key":"ref_3","first-page":"195","article-title":"Acquired Incarcerated Inguinal Hernia: A Review of 13 Horses","volume":"28","author":"Weaver","year":"1987","journal-title":"Can. Vet. J."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"173","DOI":"10.1111\/j.2042-3306.1988.tb01491.x","article-title":"Surgical treatment of acquired inguinal hernia in the horse: A review of 51 cases","volume":"20","year":"1988","journal-title":"Equine Vet. J."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"303","DOI":"10.1136\/vr.162.10.303","article-title":"Retrospective analysis of exploratory laparotomies in 192 Andalusian horses and 276 horses of other breeds","volume":"162","author":"Areste","year":"2008","journal-title":"Vet. Rec."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"468","DOI":"10.1111\/vsu.14023","article-title":"Clinical findings, surgical techniques, prognostic factors for short-term survival and long-term outcome in horses with acquired inguinal hernias: Ninety-eight cases (2005\u20132020)","volume":"53","author":"Lepage","year":"2024","journal-title":"Vet. Surg."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"1599","DOI":"10.2460\/javma.1995.207.12.1599","article-title":"Laparoscopic inguinal herniorrhaphy in two stallions","volume":"207","author":"Fischer","year":"1995","journal-title":"J. Am. Vet. Med. Assoc."},{"key":"ref_8","first-page":"e385","article-title":"Non-surgical manual reduction of indirect inguinal hernias in 89 adult stallions","volume":"34","author":"Simon","year":"2022","journal-title":"Equine Vet. Educ."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"7","DOI":"10.2746\/095777309X473","article-title":"Inguinal herniation and rupture in horses","volume":"22","author":"Schumacher","year":"2010","journal-title":"Equine Vet. Educ."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"126","DOI":"10.1111\/j.1532-950X.2007.00366.x","article-title":"Intracorporeal suture closure of the internal inguinal and VRs in foals and horses","volume":"37","author":"Caron","year":"2008","journal-title":"Vet. Surg."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"91","DOI":"10.2746\/042516401776767476","article-title":"Standing laparoscopic herniorrhaphy in stallions using cylindrical polypropylene mesh prosthesis","volume":"33","year":"2001","journal-title":"Equine Vet. J."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"557","DOI":"10.1111\/j.1532-950X.2007.00282.x","article-title":"Laparoscopic hernioplasty in recumbent horses using transposition of a peritoneal flap","volume":"36","author":"Rossignol","year":"2007","journal-title":"Vet. Surg."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"292","DOI":"10.1111\/j.1532-950X.2011.00914.x","article-title":"Standing laparoscopic peritoneal flap hernioplasty technique for preventing recurrence of acquired strangulating inguinal herniation in stallions","volume":"41","author":"Wilderjans","year":"2012","journal-title":"Vet. Surg."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"6","DOI":"10.1111\/j.1532-950X.2013.12083.x","article-title":"Standing laparoscopic inguinal hernioplasty using cyanoacrylate for preventing recurrence of acquired strangulated inguinal herniation in 10 stallions","volume":"43","author":"Rossignol","year":"2014","journal-title":"Vet. Surg."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"359","DOI":"10.1111\/evj.13454","article-title":"Laparoscopic closure of the VRs in the standing horse using a tacked intraperitoneal slitted mesh (TISM) technique","volume":"54","author":"Wilderjans","year":"2022","journal-title":"Equine Vet. J."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"e2584","DOI":"10.1002\/vetr.2584","article-title":"Development of a laparoscopic technique for inguinal hernioplasty in standing horses","volume":"192","author":"Vitoria","year":"2023","journal-title":"Vet. Rec."},{"key":"ref_17","doi-asserted-by":"crossref","unstructured":"Adler, D.M.T., \u00d8stergaard, S., J\u00f8rgensen, E., and Jacobsen, S. (2020). Bidirectional knotless barbed versus conventional smooth suture for closure of surgical wounds in inguinal castration in horses. BMC Vet. Res., 16.","DOI":"10.1186\/s12917-020-02449-6"},{"key":"ref_18","doi-asserted-by":"crossref","unstructured":"Stratic\u00f2, P., Guerri, G., Palozzo, A., Varasano, V., and Petrizzi, L. (2022). Current Use of Equine Laparoscopy in Urogenital Disorders: A Scoping Review of the Literature from 2000 to 2021. Vet. Sci., 9.","DOI":"10.3390\/vetsci9020041"},{"key":"ref_19","doi-asserted-by":"crossref","unstructured":"Gialletti, R., Nannarone, S., Gandini, M., Cerullo, A., Bertoletti, A., Scilimati, N., and Giusto, G. (2021). Comparison of Mesh and Barbed Suture for Laparoscopic Nephrosplenic Space Ablation in Horses. Animals, 11.","DOI":"10.3390\/ani11041096"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"824","DOI":"10.1111\/vsu.12520","article-title":"Use of a Barbed Knotless Suture for Laparoscopic Ablation of the Nephrosplenic Space in 8 Horses","volume":"45","author":"Albanese","year":"2016","journal-title":"Vet. Surg."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"102","DOI":"10.1016\/j.jevs.2016.02.236","article-title":"Laparoscopic Uteropexy (Mesometrium Imbrication) in Three Mares Using a Barbed Suture","volume":"40","author":"Corsalini","year":"2016","journal-title":"J. Equine Vet. Sci."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"80","DOI":"10.1111\/j.1532-950X.2013.12081.x","article-title":"In vitro comparison of V-Loc\u2122 versus Biosyn\u2122 in a one-layer end-to-end anastomosis of equine jejunum","volume":"43","author":"Nelson","year":"2014","journal-title":"Vet. Surg."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"374","DOI":"10.1111\/vsu.12455","article-title":"Ex Vivo Biomechanical Comparison of 4 Suture Materials for Laparoscopic Bladder Closure in the Horse","volume":"45","author":"Ruzickova","year":"2016","journal-title":"Vet. Surg."},{"key":"ref_24","first-page":"269","article-title":"Ex vivo comparison of barbed and unbarbed sutures for the closure of caecal and pelvic flexure enterotomies in horses","volume":"55","author":"Giusto","year":"2019","journal-title":"Vet. Ital."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"249","DOI":"10.2460\/javma.242.2.249","article-title":"Use of a barbed suture for laparoscopic closure of the internal inguinal rings in a horse","volume":"242","author":"Ragle","year":"2013","journal-title":"J. Am. Vet. Med. Assoc."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"296","DOI":"10.1111\/eve.13884","article-title":"Minimally invasive repair of congenital inguinal hernias in nine foals using an automated laparoscopic suturing device and barbed suture","volume":"36","author":"Maurer","year":"2023","journal-title":"Equine Vet. Educ."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"797","DOI":"10.1016\/j.theriogenology.2015.05.014","article-title":"Testicular perfusion after standing laparoscopic peritoneal flap hernioplasty in stallions","volume":"84","author":"Duque","year":"2015","journal-title":"Theriogenology"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"414","DOI":"10.1111\/j.1532-950X.1996.tb01437.x","article-title":"Laparoscopic repair of scrotal hernia in two foals","volume":"25","author":"Klohnen","year":"1996","journal-title":"Vet. Surg."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1016\/j.cvsm.2015.08.005","article-title":"Advances in Equipment and Instrumentation in Laparoscopic Surgery","volume":"46","author":"Huhn","year":"2016","journal-title":"Vet. Clin. N. Am. Small Anim. Pract."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"521","DOI":"10.1159\/000488241","article-title":"What Is the Role of Barbed Suture in Laparoscopic Myomectomy? A Meta-Analysis and Pregnancy Outcome Evaluation","volume":"83","author":"Gardella","year":"2018","journal-title":"Gynecol. Obstet. Investig."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1111\/j.1532-950X.2012.01051.x","article-title":"Biomechanical comparison of glycomer 631 and glycomer 631 knotless for use in canine incisional gastropexy","volume":"42","author":"Arbaugh","year":"2013","journal-title":"Vet. Surg."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"237","DOI":"10.1177\/1553350609342988","article-title":"Barbed suture for gastrointestinal closure: A randomized control trial","volume":"16","author":"Demyttenaere","year":"2009","journal-title":"Surg. Innov."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1186\/s13028-018-0437-x","article-title":"Comparison of two different barbed suture materials for end-to-end jejuno-jejunal anastomosis in pigs","volume":"61","author":"Giusto","year":"2019","journal-title":"Acta Vet. Scand."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"893","DOI":"10.1089\/lap.2011.0281","article-title":"In vivo assessment of an absorbable and nonabsorbable knotless barbed suture for laparoscopic single-layer enterotomy closure: A clinical and biomechanical comparison against nonbarbed suture","volume":"21","author":"Omotosho","year":"2011","journal-title":"J. Laparoendosc. Adv. Surg. Tech."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"487","DOI":"10.1111\/vsu.13353","article-title":"Ex vivo comparison of barbed sutures for pelvic flexure enterotomy in horses","volume":"49","author":"Sinovich","year":"2020","journal-title":"Vet. Surg."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"109","DOI":"10.1007\/s00423-024-03297-w","article-title":"Laparoscopy training of novices with complex curved instruments using 2D- and 3D-visualization","volume":"409","author":"Hidding","year":"2024","journal-title":"Langenbeck\u2019s Arch. Surg."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"629","DOI":"10.1007\/s10029-024-02967-4","article-title":"A comparative study between open pre-peritoneal approach versus laparoscopic trans-abdominal pre-peritoneal approach in recurrent inguinal hernia repair: A prospective cohort study","volume":"28","author":"Awad","year":"2024","journal-title":"Hernia"},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"227","DOI":"10.1089\/lap.2023.0418","article-title":"Evaluating a Single Surgeon\u2019s Learning Curve for Laparoscopic Totally Extraperitoneal Repair of Inguinal Hernia with Telescopic Dissection: A Cumulative Sum Control Chart Analysis","volume":"34","author":"Chan","year":"2024","journal-title":"J. Laparoendosc. Adv. Surg. Tech."},{"key":"ref_39","first-page":"483","article-title":"Influence of learning curve and surgeon experience on postoperative pain after laparoscopic treatment of inguinal hernias","volume":"94","author":"Etele","year":"2023","journal-title":"Ann. Ital. Chir."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"557","DOI":"10.1016\/j.cveq.2008.09.003","article-title":"Complications of laparoscopic surgery","volume":"24","author":"Hendrickson","year":"2008","journal-title":"Vet. Clin. N. Am. Equine Pract."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"1043","DOI":"10.1111\/rda.12434","article-title":"Standing laparoscopic peritoneal flap hernioplasty of the vaginal rings does not modify the sperm production and motility characteristics in intact male horses","volume":"49","author":"Ezquerra","year":"2014","journal-title":"Reprod. Domest. Anim."},{"key":"ref_42","unstructured":"Barone, R. (1996). Anatomie Compar\u00e9e des Mammif\u00e8res Domestiques. Tome 5, Angiologie, Editions Vigot."}],"container-title":["Animals"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2076-2615\/14\/12\/1826\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T15:01:13Z","timestamp":1760108473000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2076-2615\/14\/12\/1826"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,6,19]]},"references-count":42,"journal-issue":{"issue":"12","published-online":{"date-parts":[[2024,6]]}},"alternative-id":["ani14121826"],"URL":"https:\/\/doi.org\/10.3390\/ani14121826","relation":{},"ISSN":["2076-2615"],"issn-type":[{"value":"2076-2615","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,6,19]]}}}